[Clinical-ultrasonographic assessment in arthroscopic rotator cuff repair after 1-year follow-up]. / Evaluación clínico-ultrasonográfica en la reparación artroscópica del mango rotador a 1 año de seguimiento postoperatorio.

INTRODUCTION: Arthroscopic repair of the rotator cuff have shown have shown encouraging clinical results. However, few authors have assessed integrity of repair with ultrasound. The presence of re-rupture by ultrasonography in a rotator cuff repair may not relate to the patient's functional status. OBJECTIVE: We used ultrasonography to assess the prevalence of re-rupture in rotator cuff repairs and its clinical relevance with minimum 1 year postoperatively. MATERIALS AND METHODS: Evidence level IV (Case series). We evaluated 27 shoulders that underwent arthroscopic rotator cuff repair. Clinical evaluation was performed using UCLA functional scale, visual analogue scale (UCLA, VAS). Post-operative ultrasound was performed at least 1 year postoperatively. Statistical analysis was done with the SPSS 11.0 software. RESULTS: We examined 27 shoulders, mean age 56.4 (41-78), mean postoperative follow-up 19.6 (12 m-88 m). Clinical assessment with UCLA functional scale results were: good-excellent (77.4%); fair (22.2%). VAS results showed that 44.4% reported VAS of 0; in the range of 1-3 VAS was 55.5% of the patients. Ultrasound evaluation showed no injury in 37%; partial lesion 51.9%, and a total lesion 11.1%. Thirty-three % of the patients with VAS of 0 showed no injury when evaluated by ultrasonography, injury by ultrasound 33.3% with VAS (1-3) 22.2%. UCLA (good-excellent) without injury by ultrasound 33.3% with a 44.4% degree of injury, UCLA (Fair) without injury 3.7%, with some degree of lesion 18.5%. Results no statistically significant difference (p > 0.05). CONCLUSIONS: In our series, we find that integrity of rotator cuff postoperative ultrasound, it has no effect on the functional status of patients with postoperative follow-up of at least 1 year, with UCLA and VAS.

[Cervical lordosis evaluation in asymptomatic volunteers from Navy Medical Center]. / Evaluación de la lordosis cervical en voluntarios asintomáticos del Centro Médico Naval.

OBJECTIVE: To evaluate the cervical lordosis in standing posture in healthy volunteers from the Navy Medical Center, by means of measurement of the angle of Cobb. MATERIAL AND METHODS: The present is a descriptive, cross-sectional, with descriptive statistic and stratified sampling trial. The lateral radiographs of 81 healthy volunteers were analyzed. The technique used was obtained with the patients in standing posture, with eyes opened and to assume a comfortable neutral resting position, with 1 kg. in each upper extremity. RESULTS: 56 volunteers with medical activities, 90% displayed lost of lordosis. (Min 36 degrees, Max 76 degrees mean 54 degrees). Twenty five volunteers with office activities, 60% displayed lost of lordosis (Min 22 degrees, Max. 66 degrees, Mean 47 degrees). The ranks of interval for medical activities 50 to 65 degrees and for activities of office of 35 to 50 degrees (IC 95%). CONCLUSIONS: Medical and office activities are associated with asymptomatic loss of cervical lordosis, with greater association of medical activities. Lateral radiographs in standing posture, allow suitable evaluation of the cervical spine without modifying its alignment.